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Exam CCRN-Adult braindumps

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AACN CCRN (Adult) - Direct Care Eligibility Pathway Sample Questions (Q940-Q945):

NEW QUESTION # 940
Of the following, which is NOT a common complication of a bleeding gastric ulcer that would require emergency surgery?

A. Obstruction
B. Perforation
C. Seizures
D. Hemorrhage

Answer: C

Explanation:
The most common complications of a gastric ulcer requiring emergency surgery include hemorrhage, perforation, and obstruction. The goals for surgical intervention include correction of the underlying problem, prevention of recurrent ulceration or bleeding, and to rule out malignancy.
Seizures do not generally require emergency surgery in the presence of a bleeding gastric ulcer.

NEW QUESTION # 941
Which of the following is TRUE regarding the use of sodium nitroprusside in a patient with a subarachnoid hemorrhage (SAH)?

A. Sodium nitroprusside should be used unless the patient has liver dysfunction
B. Sodium nitroprusside is the preferred treatment for these patients
C. Due to cost, other drugs that are just as effective and safer are used more frequently
D. Sodium nitroprusside is contraindicated for these patients

Answer: C

Explanation:
Sodium nitroprusside is a balanced vasodilator that affects the arterial and venous systems. Blood pressure reduction occurs within seconds after an infusion is started, with a duration of action of less than 10 minutes once the infusion is discontinued.
It was previously considered the agent of choice in acute hypertensive conditions, such as hypertensive encephalopathy, intracerebral infarction, SAH, and malignant hypertension. However, the use of this agent has been severely restricted due to significant cost increases compared with effective, safer, and less costly alternatives. In addition to this, if sodium nitroprusside is used for longer than 48 hours, there is the risk of thiocyanate toxicity.
Sodium nitroprusside should not be used in patients with renal dysfunction, not liver dysfunction.

NEW QUESTION # 942
Which of the following indicates that the patient and patient's family have a low ability to participate in care?

A. The patient has limited access to financial resources
B. The patient's family requests to be present when the physician makes rounds
C. The patient knows the names of caregivers
D. The patient does not inquire about new medications that are administered

Answer: D

Explanation:
Patients and families have the right to be well-informed and to participate fully in their care. As a patient advocate, the critical care nurse recognizes the patient's or surrogate's central role in decision-making.
The doctrine of informed consent encompasses four elements: disclosure, comprehension, voluntariness, and competence. The intent of informed consent is based on the principle of autonomy.
If the patient does not want to know about new medications that are administered, this indicates a low level of the patient's ability to participate in his or her own care.
Developing relationships with caregivers and the desire to be present for the physician both indicate a high level of the patient and family's ability to participate in care.
Financial resources are not related to participation in care.

NEW QUESTION # 943
Which of the following drugs would NOT be suitable for treating a critically ill patient who is in distributive shock?

A. Nitroglycerin
B. Vasopressin
C. Dopamine
D. Norepinephrine

Answer: A

Explanation:
Nitroglycerin is a vasodilator that's used for angina or heart failure, not distributive shock and would likely worsen the patient's condition. Norepinephrine, dopamine, and vasopressin are all used to increase blood pressure.

NEW QUESTION # 944
Which of the following is NOT considered one of the core nurse competencies of the AACN's Synergy Model?

A. Caring practices
B. Facilitation of learning
C. Clinical inquiry
D. Resource availability

Answer: D

Explanation:
The AACN Synergy Model is the source of content for 20% of the CCRN, making this concept a central component of the test. The eight nurse components of the AACN Synergy Model are:
* Clinical judgement
* Advocacy and moral agency
* Caring practices
* Collaboration
* Systems thinking
* Response to diversity
* Facilitation of learning
* Clinical inquiry
Resource availability is a core patient characteristic of the Synergy Model, not a core nurse competency.
It refers to the extent of resources (technical, fiscal, personal, psychological, and social) the patent/family brings to the situation.

NEW QUESTION # 945
......

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